Holaya Ponce Acosta, L.P.C., LPCC

Individual provider Active NPI Professional Counselor · El Paso, TX

NPI 1982808861 · NPPES record last updated Mar 30, 2018

Key facts

NPI
1982808861
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
59289 (TX)
Practice address
1851 Trawood, Suite a
El Paso, TX 79935
Phone
(915) 240-4135
Fax
(915) 851-7980
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
59289TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 59289 TX Yes

Addresses

Primary practice location

1851 Trawood, Suite a
El Paso, TX 79935

Mailing address

1851 Trawood, Suite a
El Paso, TX 79935
Phone (915) 240-4135

Other identifiers

IdentifierTypeStateIssuer
1938953-01MedicaidTX
182595201MedicaidTX

Other providers in El Paso, TX

All providers in El Paso, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.